Delivery of high-quality patient care and financial viability depend heavily on operational excellence. All aspects of an organization’s business or care practices can benefit from periodic review and systematic improvement planning. Health Dimensions Group (HDG) supports that effort through a number of processes and areas of expertise.
PDPM Post-Implementation Support
Effective October 1, 2019, the Centers for Medicare and Medicaid Services (CMS) replaced the Resource Utilization Groups (RUGs) payment system with a new model called Patient-Driven Payment Model (PDPM) for Medicare Part A payment for skilled nursing facility (SNF) care.
PDPM presents new opportunities for providers to manage costs and to expand into new service lines. However, it also comes with challenges such as mastering operational complexities, ensuring complete and accurate coding, and changing the culture. Those challenges will exist into the future as competitors adjust to the new payment model and CMS makes adjustments in response to system-wide behavioral changes (e.g., coding creep adjustments and payment weight recalibration).
In some markets and for many providers, the changes will be significant and will require changes to facility operating systems and strategic repositioning. Understanding the new system will be critical to future success. To assist your organization in assessing the impact of the PDPM transition for your Medicare-certified SNFs, HDG offers operational readiness assessments, education, financial and market analyses, and ongoing clinical support.
Our team helps you discover where the opportunities for improvement lie and advises you on ways to leverage your community’s potential—clinically, operationally, and financially. It is essential for you to understand how your community compares and contrasts to its peer group, locally and nationally. We work with you to analyze the full spectrum of your operation and identify opportunities including revenue optimization, cost reduction, and care improvement.
Regulatory Compliance Audits
Prior to expected or increased regulatory oversight, organizational leadership is often looking to stress-test certain aspects of their operations to assess vulnerabilities and establish baselines from which to improve. HDG consultants thoroughly audit policies, procedures, and current practices to determine regulatory compliance regarding state and federal regulations for post-acute care, long-term care, and senior living communities. These evaluations include health and Life Safety components of regulatory testing.
Sales, Marketing, and Occupancy Development
Post-acute care providers and operators face an ever-changing and competitive landscape. More than ever before, providers depend on partnerships with others in the continuum, including referring providers, consumers, and payors. Providers must leverage these relationships to sustain command of desired market share, which drives occupancy and revenue. Our consultants work closely with you to explore referral dynamics, sales processes, and marketing strategies to position you as a preferred referral and living destination.